Your anaesthetic

There are two common types of anaesthetic:

Local anaesthetic

A local anaesthetic is an injection which numbs the area. You stay awake but feel no pain. If you have a local anaesthetic, this will be done by Mr Armstrong. You will notice a sharp scratch and some stinging during the injection. This may last up to 30 seconds. You may notice a warm tingling feeling as the anaesthetic begins to take effect within a minute or two. Your operation will only go ahead when you and your anaesthetist are sure that the area is numb. You will remain alert and aware of your surroundings. A screen shields the operating site, so you will not see the operation unless you want to. You will have a nurse available at all times to talk to during your operation and are free to talk to your surgeon during your procedure too.

General anaesthetic

With a general anaesthetic, you go to sleep and feel no pain. If you have a general anaesthetic, this will be done by a Consultant Anaesthetist. An anaesthetist is a doctor with specialist training who is responsible for giving your anaesthetic and for your wellbeing and safety throughout your surgery. They will agree a plan with you for your anaesthetic and pain control afterwards and they aim to make your experience as pleasant and pain free as possible.

Your anaesthetist will meet you on the morning of your operation. They will:

• ask you about your health
• discuss with you which types of anaesthetic can be used
• discuss with you the benefits, risks and your preferences
• decide with you which anaesthetic would be best for you

Nothing will happen to you until you understand and agree with what has been planned for you. When you eventually get to theatre, a needle may be used to start your anaesthetic. If this needle worries you, you can ask to have a local anaesthetic cream put on your arm to numb the skin before you leave the ward. The ward nurses will do this for you if you ask.